Minimum 1 year of experience in a customer service role with high-volume call center experience (preferably in healthcare or social services).
Pharmacy Technician certification is preferred but not required at the state or national level.
Verifiable High School diploma or GED.
Experience handling prior authorization processes or related clinical calling/communication.
Requirements:
Take incoming calls from members, providers, and other callers, providing professional phone assistance through the criteria-based prior authorization process.
Maintain complete, timely, and accurate documentation of all approvals and denials.
Transfer clinical questions and judgment calls to the pharmacist for resolution.
Assist with prior authorization workflows and ensure accurate data collection and communication.
Job description
Summary:
This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.
The Pharmacy Technician certification is preferred but not required at a State or National level.
Duties:
This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.
Experience:
Minimum (1) year experience required in a customer service position with high volume call center experience; preferably in healthcare, social services, or a similar service position. The Pharmacy Technician certification is preferred but not required at a State or National level.
Education: Verifiable High School diploma or GED is required. The Pharmacy Technician certification is preferred but not required at a State or National level.
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com.
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
